Hepatic abscesses caused by ingested foreign bodies have been reported in the medical literature but represent very uncommon
events. Extra-luminal migration of sawing needles and pins is the most common cause of perforation of the gastrointestinal
tract associated with liver infections. Other non-metallic sharp objects such as animal bones and toothpicks have been described
but are less frequent. The authors present a case of a 45-year-old woman who suffered from sepsis and a liver abscess because
of the migration of a toothpick that lodged in the left hepatic lobe. Review of the literature on the pathogenesis and clinical
management of liver abscesses caused by ingested foreign is presented.